How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $1,348.96 | Facility | None | $95.50 | $346.74 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $371.54 | Professional | None | $95.50 | $95.50 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,148.15 | Facility | None | $436.52 | $436.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $562.34 Typical High $1,000.00 | Professional | None | $316.23 | $562.34 | $1,000.00 |
CDPHP Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $933.25 Typical High $1,258.93 | Facility | None | $426.58 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $537.03 Typical High $2,137.96 | Professional | None | $263.03 | $537.03 | $2,137.96 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $436.52 Typical High $1,000.00 | Facility | None | $81.28 | $436.52 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $588.84 | Professional | None | $263.03 | $371.54 | $588.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $190.55 Median $416.87 Typical High $501.19 | Professional | None | $190.55 | $416.87 | $501.19 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $323.59 Typical High $870.96 | Facility | None | $13.80 | $323.59 | $870.96 |
MVP Health Care Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $912.01 | Professional | None | $288.40 | $346.74 | $912.01 |
United Setting Facility Modifier None Typical Low $398.11 Median $436.52 Typical High $549.54 | Facility | None | $398.11 | $436.52 | $549.54 |
United Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $660.69 | Professional | None | $173.78 | $199.53 | $660.69 |
Univera Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $467.74 | Facility | None | $147.91 | $147.91 | $467.74 |
Univera Setting Professional Modifier None Typical Low $169.82 Median $416.87 Typical High $489.78 | Professional | None | $169.82 | $416.87 | $489.78 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $186.21 | Professional | 52 · Reduced service | $47.86 | $47.86 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $74.13 | Professional | 53 · Discontinued | $19.05 | $19.05 | $74.13 |
Where New York sits
The same service costs 7.1 times more in Texas than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 24th of 51
$355
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.